Product Detail

Using Differential Diagnosis to Evaluate the Dizzy Patient
There has been an explosion of new research and interest into dizziness, balance control, and the role of the vestibular system with various pathologies. Physical therapists now have a primary role in treating patients with dizziness caused by inner ear problems, TBI, concussion, migraine, and whiplash. This has created a new and unique patient population seeking physical therapy services. With the myriad of symptoms that can accompany dizziness, as a therapist, how do you make sense of it all?

The rehabilitation of the dizzy patient requires a thorough understanding of the causes of dizziness from a neurological and orthopedic perspective and the relationship between the vestibular system and other systems. This course will provide the knowledge to perform a thorough evaluation of the dizzy patient. Emphasis will be placed on the differential diagnosis process to identify the exact cause of dizziness. Lab sessions will focus on hands-on examination and treatment techniques. This course is a must for anyone treating patients with dizziness in their clinics.

Objectives

Appreciate the various causes of dizziness and therapy's role in treatment

Describe the pathophysiology of basic inner ear deficits, including BPPV

Demonstrate the vestibular exam and treatment of BPPV

Identify and address vestibular migraine as part of the health care team

Understand return to play considerations for the concussed athlete

Determine proper exercise prescription for the dizzy patient for various conditions

Appreciate the differential diagnosis process for dizziness based upon the latest evidence

Outline

OVERVIEW OF DIZZINESS

u Various causes

• multisystem deficit of aging

• inner ear

• syncope

• head injury

• psychiatric

THE ROLE OF THE VESTIBULAR SYSTEM

u Anatomy and physiology

u Pathophysiology and causes of dizziness from inner ear disorders

u Benign Paroxysmal Positional Vertigo (BPPV)

u Clinical examination and differential diagnosis

u The role of nystagmus in identifying the cause

• how to interpret and describe nystagmus

u The interrelationship between the cervical spine and vestibular system

• cervicogenic dizziness and whiplash

HANDS-ON LAB: THE VESTIBULAR ASSESSMENT

u Specific how-to and red flags with taking history

u Special tests including Dix-Hallpike, Roll Test, Head Impulse Test, and balance measures

u Canalith Repositioning Treatment for treating BPPV

• BPPV variants and treatment

THE NEW REALM FOR THE THERAPIST: VESTIBULAR MIGRAINE

AND CONCUSSION

u Pathophysiology and causes of migraine

u How to identify the vestibular migraine

u Treatment considerations including common pharmacotherapy

u Concussion considerations with age

• the pediatric vs. adult athlete

u Return to play considerations with concussion

• who makes the decision

• standardized testing

HANDS-ON LAB: EXERCISE PRESCRIPTION FOR THE

DIZZY PATIENT

u Vestibular adaptation principles

• visual exercises

u Balance retraining

• exercise progression and pitfalls

u Techniques to reduce positional dizziness

u Role of manual vs. vestibular therapy, or both?

DIFFERENTIAL DIAGNOSIS

u Putting the examination together

• What does it mean? Red flags vs. red herrings

• case studies

*Course content is not intended for use outside of the scope of the participant's license.

Author

ETHAN HOOD, PT, DPT, MBA, GCS

ETHAN HOOD, PT, DPT, MBA, GCS, is a licensed Physical Therapist with more than 16 years of experience. Currently, he is the assistant director of the St. Luke's Warren Hospital Balance Center and co-founder of the St. Luke's Warren Concussion Center in New Jersey, where he treats patients with complex balance and vestibular disorders. As a member of the American Physical Therapy Association, he has served on the APTA's specialization academy of content experts (SACE) as a writer for the geriatric specialization exam and he also contributes to APTA's podcasts on vestibular related topics. Furthermore, he is a member of the Vestibular Disorders Association and is a board certified Geriatric Clinical Specialist (GCS). Because of his extensive work with vestibular rehabilitation therapy, Dr. Hood has created educational programs and provided his expertise for numerous health care organizations on this topic as well as fall prevention/management and concussion/post-concussion syndrome. In addition, his research on these issues has been published multiple times in Topics in Geriatric Rehabilitation. His research and experience as a physical therapist has led Dr. Hood to be a sought-after educator and speaker at the national level, serving as a guest lecturer at several physical therapy programs, presenting at national conventions, and lecturing around the country for Cross Country Education.

Continuing Education Credits

Continuing Education InformationThis educational offering is designed to qualify for continuing education for many professionals in every state.

Materials that are included in this course could include interventions and modalities that are beyond the authorized practice for your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

Listed below are the continuing education credit(s) currently available for this educational offering. Please note, your state licensing board dictates what is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact customerservice@vyne.com or 800-397-0180.

Physical Therapists, Physical Therapist Assistants: This educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

Physical Therapists, Physical Therapist Assistants - New York: Vyne Education, LLC. is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing
education. This educational offering is awarded 7.2 contact hours.

Physical Therapists, Physical Therapist Assistants - Arkansas: This educational offering has been approved by the Arkansas State Board Of Physical Therapy for 6 contact hours for Physical Therapists.

Physical Therapists, Physical Therapist Assistants - Maryland: This educational offering has been approved by the Maryland State Board of Physical Therapy Examiners for 0.6 CEUs.

Physical Therapists, Physical Therapist Assistants - North CarolinaNCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 8/31/2018.

Physical Therapists, Physical Therapist Assistants - New Mexico: This educational offering has been submitted to the New Mexico Physical Therapy Board for 6 contact hours.

Physical Therapists, Physical Therapist Assistants - Oklahoma: This educational offering has been approved by the Board of Medical Licensure & Supervision State of Oklahoma for 6 hours for Physical Therapists.

Physical Therapists, Physical Therapist Assistants - Pennsylvania: This educational offering has been approved by the Pennsylvania State Board of Physical Therapy for a total of 6 contact hours of which 0 hours have been approved for Direct Access. PA Board Approval #PTCE010363.

Other ProfessionsThis educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.